dc.contributor.author
Pumberger, Matthias
dc.contributor.author
Schitz, Florian
dc.contributor.author
Bürger, Justus
dc.contributor.author
Schömig, Friederike
dc.contributor.author
Putzier, Michael
dc.contributor.author
Palmowski, Yannick
dc.date.accessioned
2020-08-20T07:08:34Z
dc.date.available
2020-08-20T07:08:34Z
dc.identifier.uri
https://refubium.fu-berlin.de/handle/fub188/28072
dc.identifier.uri
http://dx.doi.org/10.17169/refubium-27822
dc.description.abstract
Kyphoplasty is the standard surgical treatment of vertebral compression fractures. We aimed to clarify the influence of kyphoplasty on the sagittal profile as well as the relation between posture improvement and pain relief. For this purpose, we evaluated various radiological parameters of the sagittal profile on whole spine standing radiographs of 73 Patients with a single vertebral fracture treated by kyphoplasty. The key outcome was the postoperative change of the sagittal vertical axis (SVA). Additionally, clinical parameters including pain scores on visual analogue scale (VAS) and use of analgesics were obtained from medical records. Pre- and postoperative radiological as well as clinical parameters were compared. Additionally, the correlation between changes of SVA and changes of local kyphotic angle (LKA) or VAS was examined. The clinical parameters as well as various radiographic parameters (SVA, LKA, Gardner, Cobb) improved significantly postoperatively. The improvement of SVA correlated significantly with the correction of the LKA but not with postoperative pain relief. We conclude that kyphoplasty helps to restore the global sagittal balance of the spine after vertebral fractures. The correction of the sagittal profile seems to depend on the correction of the local kyphotic angle but does not correlate with postoperative pain relief.
en
dc.rights.uri
https://creativecommons.org/licenses/by/4.0/
dc.subject
Pain Reduction
en
dc.subject.ddc
600 Technik, Medizin, angewandte Wissenschaften::610 Medizin und Gesundheit::610 Medizin und Gesundheit
dc.title
Kyphoplasty Restores the Global Sagittal Balance of the Spine Independently from Pain Reduction
dc.type
Wissenschaftlicher Artikel
dcterms.bibliographicCitation.articlenumber
8894
dcterms.bibliographicCitation.doi
10.1038/s41598-020-65798-0
dcterms.bibliographicCitation.journaltitle
Scientific Reports
dcterms.bibliographicCitation.originalpublishername
Nature Research
dcterms.bibliographicCitation.volume
10
refubium.affiliation
Charité - Universitätsmedizin Berlin
refubium.resourceType.isindependentpub
no
dcterms.accessRights.openaire
open access
dcterms.bibliographicCitation.pmid
32483183
dcterms.isPartOf.eissn
2045-2322